dc.contributor.author | Meum, Torbjørg | |
dc.contributor.author | Ellingsen, Gunnar | |
dc.contributor.author | Monteiro, Eric | |
dc.contributor.author | Wangensteen, Gro | |
dc.contributor.author | Igesund, Harald | |
dc.date.accessioned | 2018-08-15T12:38:09Z | |
dc.date.available | 2018-08-15T12:38:09Z | |
dc.date.issued | 2013-05-17 | |
dc.description.abstract | <p><i>Purpose</i>:
The paper assesses the extent, form, and transformation of global nursing classifications (NANDA) in a nursing practice during a period of 5 years.</p>
<p><i>Method</i>:
A longitudinal case study was used to trace implementation, adoption and use of nursing classifications as an integral part of an electronic nursing module. A mixed method of data collection was used, including semi-structured interviews, observation and document analysis.</p>
<p><i>Results</i>:
A surprisingly high proportion of nursing diagnoses was consistent with the global standard, in spite of a gradual increase of user-generated concepts. This is elaborated more thoroughly through a co-constructing perspective, emphasizing how the global standard and the practice mutually shaped each other over several years.</p>
<p><i>Conclusion</i>:
Standardization is an iterative process that is performed in close relationship with practice. The mutual interrelation between formal classifications (NANDA) and local practices are co-constructed in a dynamic interplay that evolves over time. In such a process, the use of local classifications and local strategies can be a means to bridge the gap between these two extreme points.</p>
<p><i>Highlights</i>:
► Extensive use of standardized classification after implementation of electronic care plan. ► Local classifications evolved during long-term use. ► Co-construction of classifications was used to bridge the gap between global classifications and local needs. | en_US |
dc.description | Submitted manuscript version. Published version available at <a href=https://doi.org/10.1016/j.ijmedinf.2013.02.005> https://doi.org/10.1016/j.ijmedinf.2013.02.005</a>. | en_US |
dc.identifier.citation | Meum, T., Ellingsen, G., Monteiro, E., Wangensteen, G. & Igesund, H. (2013). The interplay between global standards and local practice in nursing. International Journal of Medical Informatics, 82(12), e364-e374. https://doi.org/10.1016/j.ijmedinf.2013.02.005 | en_US |
dc.identifier.cristinID | FRIDAID 1033095 | |
dc.identifier.doi | 10.1016/j.ijmedinf.2013.02.005 | |
dc.identifier.issn | 1386-5056 | |
dc.identifier.issn | 1872-8243 | |
dc.identifier.uri | https://hdl.handle.net/10037/13409 | |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.journal | International Journal of Medical Informatics | |
dc.relation.projectID | info:eu-repo/grantAgreement/RCN/SFI/174934/Norway/Tromsø Telemedicine Laboratory: Research-Based Innovation in Telemedicine and eHealth Systems for Chronic, Age, & Lifestyle related Diseases// | en_US |
dc.rights.accessRights | openAccess | en_US |
dc.subject | VDP::Medical disciplines: 700::Clinical medical disciplines: 750 | en_US |
dc.subject | Nursing classifications | en_US |
dc.subject | Nursing care plans | en_US |
dc.subject | Interplay between local and global standards | en_US |
dc.subject | Co-construction | en_US |
dc.subject | VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750 | en_US |
dc.title | The interplay between global standards and local practice in nursing | en_US |
dc.type | Journal article | en_US |
dc.type | Tidsskriftartikkel | en_US |
dc.type | Peer reviewed | en_US |